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ON-LINE APPLICATION FOR COMMON WRITTEN EXAMINATION(CWE) FOR RECRUITMENT OF POS/MTS IN 19 PSBS- CWE PO/MT-II

32031
Registration # : 5000814518

Full Name :

Jatinder Singh Sai ni

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe (only for VI & OC candidates whose writing speed is affected by cerebral palsy) ? : Whether Children/Family Members of those who died in 1984 Riots? :

OBC NO NA NO

Whether domiciled in Kashmir Division of the State of J & K during the period 1-1-1980 to 31-12-1989? : NO Are you an Employee who has completed 5 years of service in RRBs : Are you a Clerical employee of a Participating Public Sector Bank ? : If yes, please specify the Name of the Public Sector Bank : Are you an Ex-Serviceman ? : Whether you belong to Minority Community ? : Religion to which you belong : Have you appeared for CWE PO/MT exam held on 18/09/2011 and 13/11/2011 ? : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs : State Code : Centre of Examination : Centre Code : Application Fee / Intimation Charges details: Payment Mode: Amount : Reference ID : Transaction Date : Personal Details : Date of Birth : Age completed as on 01.01.2012 : Gender : Husband's Name/Father's Name : Mother's Name : Address for Correspondence : 15-10-1986 25 MALE Karanvir Singh Harminder Kaur Sanin Motors Near Darpan Cinema G.T Road Mandi Dabwali District State : Pin : Permanent Address : Sirsa HARYANA 125104 Sanin Motors Near Darpan Cinema G.T Road Mandi Dabwali ONLINE 450.00 NO NO NO YES Sikh NO Indian Punjab 28 Mohali 91

my candidature is liable to be cancelled.01. I understand that in the event of any information being found untrue or incorrect at any stage or my not satisfying any of the eligibility criteria stipulated.2012): Exam Passed Graduation/Equivalent : Post Graduation/Equivalent : Other Details : Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes. Place: Date: 25-03-2012 Signature of Applicant Please retain your Registration No. complete and correct to the best of my knowledge and belief.00 67.2/2 District State : Pin : Contact Details : Email ID : Phone No : Mobile No : Qualification Details (as on 01. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS .com 9815668308 Sirsa HARYANA 125104 DECLARATION: I hereby declare that all statements made in this application are true.32 sainijitusingh@gmail. Centre for Training : NO -Subject /Stream BBA MBA Date of Passing 07-05-2008 05-05-2010 % of Marks 60.

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